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Application BLD2021-1675CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1060178 Applicant First Name Last Name Joel Patience Company Name Number Street P.O. Box 72 Apartment or Suite Number E-mail Address joelpatience@hotmail.com City State Zip Edmonds WA 98020 Phone Number Extension 4257786748 Contractor Company Name ADVANCED INSTALLATION INC Number Street P.O. Box 1229 Apartment or Suite Number City State Zip Clinton WA 98236 Phone Number Extension (425) 745-5977 State License Number License Expiration Date ADVAN11033DU 3/13/2022 UBI # E-mail Address FD1749D93 ADV2@ADVANCEDINSTALLATION.net Project Location Number Street 956 MAPLE ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434206901600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Dale W & Patience Joel D Bonn Number Street PO BOX 72 Apartment or Suite Number City State EDMONDS WA Zip 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 12/6/2021 Submitted By: Joel Patience Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1060178 Project Type Activity Type Scope of Work Single Family Residential Alteration Mechanical Project Details Heaters Fireplace Insert - Wood Associated Building Permit? There is no other onsite work that requires a building permit. Work Location Work Description/Location (example: 1st floor, Main floor, living room, existing fire place Master Bath, Garage) Page 2 of 2